Goodman Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

1749TX Issued in WA

Legal business name

GOODMAN EYE CLINIC

Practice address

10513 Silverdale Way NW
Suite 110
Silverdale, WA 98383-9499

Phone

(360) 698-3680

Fax

(360) 692-2963

NPI assigned

Oct 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dennis W Goodman, O.D.NPI 1639175011

Title

Optomotrist/ Owner

Phone

(360) 698-3680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dennis W. Goodman Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis W Goodman, O.D.

  • Optometrist
  • Silverdale, WA
  • NPI 1639175011
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1366870479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10513 SILVERDALE WAY NW",
            "address_2": "SUITE 110",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839499",
            "telephone_number": "360-698-3680",
            "fax_number": "360-692-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 SILVERDALE WAY NW",
            "address_2": "SUITE 110",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839499",
            "telephone_number": "360-698-3680",
            "fax_number": "360-692-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMOTRIST/ OWNER",
        "authorized_official_telephone_number": "360-698-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1749TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015164",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis W. Goodman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John D Gonsoulin, MD
• Daniel Gonzales
• Anna Gonzalez, ARNP
• Juliana Gonzalez
• Kaycie Gonzalez
• Dennis W Goodman, O.D.
• Brielle Victoria Joy Goodnough
• Karen Louise Gorman, MA PSYCHOLOGY
• Jill Carolin Goulet, PT, DPT, OCS
• Vadim Goz, M.D.

• Optometrist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.